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Table 2 Potential learning opportunities

From: Implementing a national diabetes prevention programme in England: lessons learned

Challenge

Opportunity

Uncertainties about optimal and effective content and length of patient documentation e.g. referral and reminder letters

Share documents across sites, and learning from other national initiatives to develop a standardised enhanced format

Many general practice systems are not set up to effectively manage NHS DPP programme

Share standardised coding generated for general practice systems across sites

Challenges working within different governance systems e.g. between CCG/STP/Local Authority/General Practice in the setting up and delivery of the programme

Discussions within and between sites with key stakeholders to develop and implement effective models of multidisciplinary working

Knowing who to speak to e.g. NHS England contact, particularly when individuals change frequently

Ensure frequent communication from NHS England regarding changes

Engaging different populations

Share information between sites regarding implementation of methods to ensure equity of referrals

Overcoming issues related to commissioning model (e.g. getting info from provider)

Clear guidance from NHS England regarding roles and responsibilities

How to support Primary Care

Discussing with other sites the approaches that have been implemented to support Primary Care, including how best to use resources

Recruitment approaches and managing/sustaining trajectory of referrals

Share learning across sites as to what approaches worked best. Identifying benefits/sustainability of ‘warm’ vs ‘cold’ approaches